Results From the Bipartisan Policy Center's CEO Council Physical Activity Challenge to American Business

Berko, Jeff; Goetzel, Ron Z.; Roemer, Enid Chung; Kent, Karen; Marchibroda, Janet

doi:10.1097/jom.0000000000000897

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…In comparison, an external study of 103,383 employees wearing wearable activity trackers reported a remarkably similar 6,886 steps per employee per day. 27 As expected, the mean daily steps significantly correlated with BMI (R 2 =0.22), weight (R 2 =0.20), heart rate (HR) (R 2 =0.09), mean arterial pressure (MAP) (R 2 =0.08) and PWV (R 2 =0.02). In a newly identified relationship, PWV showed an inverse relationship with steps per day (pwv = 7.9 - 4.4e-5*steps/day, p=0.017, R 2 =0.023).…”

Section: Resultssupporting

confidence: 67%

Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs

Modena

Bellahsen²,

Nikzad

et al. 2018

Hypertension

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Cardiovascular disease remains the leading cause of death and disease worldwide. As demands on an already resource-constrained healthcare system intensify, disease prevention in the future will likely depend on out-of-office monitoring of cardiovascular risk factors. Mobile health tracking devices that can track blood pressure and heart rate, in addition to new cardiac vital signs, such as physical activity level and pulse wave velocity (PWV), offer a promising solution. An initial barrier is the development of accurate and easily-scalable platforms. In this study, we made a customized smartphone app and used mobile health devices to track PWV, blood pressure, heart rate, physical activity, sleep duration, and multiple lifestyle risk factors in ≈250 adults for 17 continual weeks. Eligible participants were identified by a company database and then were consented and enrolled using only a smartphone app, without any special training given. Study participants reported high overall satisfaction, and 73% of participants were able to measure blood pressure and PWV, <1 hour apart, for at least 14 of 17 weeks. The study population's blood pressure, PWV, heart rate, activity levels, sleep duration, and the interrelationships among these measurements were found to closely match either population averages or values obtained from studies performed in a controlled setting. As a proof-of-concept, we demonstrated the accuracy and ease, as well as many challenges, of using mHealth technology to accurately track PWV and new cardiovascular vital signs at home.

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Section: Resultssupporting

confidence: 67%

Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs

Modena

Bellahsen²,

Nikzad

et al. 2018

Hypertension

View full text Add to dashboard Cite

show abstract

“…Studies in healthy US adults have demonstrated daily step counts of approximately 5,000 to 7,000 per day. 26,27 Thus, patients with an ECOG PS of 0 had activity levels similar to those of healthy adults. There was a sharp decrease in number of steps per day going from an ECOG PS of 1 to an ECOG PS of 2.…”

Section: Discussionmentioning

confidence: 74%

Feasibility of Wearable Physical Activity Monitors in Patients With Cancer

Gupta

Stewart

Bhulani

et al. 2018

JCO Clinical Cancer Informatics

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Purpose The feasibility of using physical activity monitors (PAMs) to measure functional status in patients with cancer is unclear. We aimed to determine the feasibility of using PAMs to longitudinally assess physical activity and performance status (PS) in patients with cancer. Methods Patients with cancer who had Eastern Cooperative Oncology Group (ECOG) PS of 0 to 2 and were receiving systemic therapy were enrolled in a prospective pilot trial of PAM use. Feasibility was defined as patients using the PAM for > 50% of the observation period. We correlated PAM-reported measures with scores from ECOG PS and quality-of-life tools (Functional Assessment of Cancer Therapy–General [FACT-G], Quick Inventory of Depressive Symptoms–Self-Rated 16 [QIDS-SR16], and Brief Fatigue Inventory [BFI]) using Pearson’s correlation test. Patients were surveyed regarding their experience with PAMs at study completion. Results In all, 24 patients were enrolled; mean age was 54 years, 16 (67%) were women, and 19 (79%) were white. Twenty-three patients (96%) met the primary end point of feasibility. The median duration of follow-up was 69 days. Mean PAM-measured steps for ECOG PS of 0, 1, and 2 were 5,911, 1,890, and 845 steps per day, respectively ( P = .002). Minimum steps per day correlated with BFI ( r = –0.53; P < .01), FACT-G ( r = 0.45; P = .02), and QIDS-SR16 ( r = –0.57; P < .01). Eighteen patients (75%) reported a positive experience with the PAM. Conclusion PAMs are a feasible tool for measuring long-term physical activity in patients with cancer who are receiving systemic therapy. PAM-derived measures correlated with clinician-assessed PS.

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“…Muscle effort, on the other hand, has been used to determine how the risk of damage to a patient’s residual limbs can be lowered ( Bellmann et al., 2019 ; Elery et al., 2020 ; Hunt et al., 2021 ). Finally, power consumption has been the focus of research to reduce the amount of energy used to optimise the use of batteries in the prosthetic device ( Sup et al., 2008 ; De Pauw et al., 2018 ) since larger batteries mean higher weight, so optimally, a prosthetic leg should provide a similar amount of steps taken by a regular human being every day [5,000–7,000 according to Berko et al. (2016) ].…”

Section: Discussionmentioning

confidence: 99%

Low limb prostheses and complex human prosthetic interaction: A systematic literature review

et al. 2023

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A few years ago, powered prostheses triggered new technological advances in diverse areas such as mobility, comfort, and design, which have been essential to improving the quality of life of individuals with lower limb disability. The human body is a complex system involving mental and physical health, meaning a dependant relationship between its organs and lifestyle. The elements used in the design of these prostheses are critical and related to lower limb amputation level, user morphology and human-prosthetic interaction. Hence, several technologies have been employed to accomplish the end user’s needs, for example, advanced materials, control systems, electronics, energy management, signal processing, and artificial intelligence. This paper presents a systematic literature review on such technologies, to identify the latest advances, challenges, and opportunities in developing lower limb prostheses with the analysis on the most significant papers. Powered prostheses for walking in different terrains were illustrated and examined, with the kind of movement the device should perform by considering the electronics, automatic control, and energy efficiency. Results show a lack of a specific and generalised structure to be followed by new developments, gaps in energy management and improved smoother patient interaction. Additionally, Human Prosthetic Interaction (HPI) is a term introduced in this paper since no other research has integrated this interaction in communication between the artificial limb and the end-user. The main goal of this paper is to provide, with the found evidence, a set of steps and components to be followed by new researchers and experts looking to improve knowledge in this field.

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Results From the Bipartisan Policy Center's CEO Council Physical Activity Challenge to American Business

Cited by 8 publications

References 8 publications

Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs

Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs

Feasibility of Wearable Physical Activity Monitors in Patients With Cancer

Low limb prostheses and complex human prosthetic interaction: A systematic literature review

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